Technique and protocols

Laursen, Christian B.; Davidsen, Jesper Rømhild; Gleeson, Fergus

doi:10.1183/2312508x.10006117

Cited by 5 publications

(2 citation statements)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The lung transplant recipients were examined in a sitting position, while those in the ICU on post-LTx day 3 (LUS #1) were examined in a supine position and subsequently on the left and right side in order to scan the posterior chest wall zones. By principles previously applied by this research group and described by Volpicelli and Lichtenstein, the thorax was systematically scanned in fourteen different zones (seven zones on each hemithorax) covering the anterior, lateral and posterior thorax wall with one LUS record stored per zone [22][23][24]. LUS outcome variables were dichotomized presence of any of the conditions predefined below for each of the individual LUS examinations (LUS #1-4).…”

Section: Lusmentioning

confidence: 99%

Lung Ultrasound in the Assessment of Pulmonary Complications After Lung Transplantation

et al. 2018

View full text Add to dashboard Cite

Introduction Lung ultrasound (LUS) has a high diagnostic accuracy for identifying frequent conditions in the post-operative phase after lung transplantation (LTx). This study aimed to investigate the feasibility and clinical ability of LUS to identify pulmonary complications such as pleural effusions and pneumonias in the early postoperative phase after LTx. Methods A prospective cohort study of lung transplant recipients who consecutively underwent single LTx (SLTx) or double LTx (DLTx) at the National Lung Transplantation Center in Denmark from May 1 to October 31, 2015 was conducted. LUS was performed at four time points corresponding to post-transplant day 3, and weeks 2, 6, and 12 (LUS #1–4) to detect and monitor variation in pathological LUS findings over time. Concurrent with LUS #4, a high-resolution computed tomography examination of the thorax (HRCT) was also performed. Results 14 patients (1 SLTx/13 DLTx, 7 (50 %) women, mean age: 50.4 years) who had undergone the four prespecified LUS examinations were included. Pleural effusion was the most common condition and most pronounced at post-LTx week 2. Findings consistent with pneumonia increased during week 2 and subsequently decreased. Corresponding to LUS #1, 2, 3, and 4, pleural effusion occurred in 85.7 %, 92.9 %, 85.7 %, and 78.6 %, and pneumonia in 21.4 %, 28.6 %, 14.3 %, and 14.3 %, respectively. HRCT findings at post-LTx week 12 were predominantly presented by unspecific ground glass opacities. Conclusion In a post-LTx setting, LUS represents a clinical novelty as a feasible diagnostic and monitoring tool to identify pathological pulmonary complications in the early post-operative phase.

show abstract

Section: Lusmentioning

confidence: 99%

Lung Ultrasound in the Assessment of Pulmonary Complications After Lung Transplantation

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In a clinical setting, satisfactory TUS performance necessitates the theoretical and practical skills obtained from several available certified TUS education possibilities, where the involvement of or add-on simulation-based training is recommended to improve clinical performance [ 4 , 5 ]. Such training also contributes to understanding the commonly used terminology and knowledge of normal and pathological findings of the lung parenchyma, pleura, and thoracic wall, which is an essential prerequisite for the sufficient interpretation of TUS observations [ 6 , 7 ]. Several TUS scanning protocols with different scanning areas and zones are described, but the most frequently used in prospective clinical studies is the 14-zone approach, which accommodates the scanning of the thorax’s anterior, lateral, and posterior surfaces [ 8 , 9 , 10 , 11 , 12 ] ( Figure 1 ).…”

Section: Introductionmentioning

confidence: 99%

Thoracic Ultrasound in Lung Transplantation—Insights in the Field

Schultz

Davidsen

2023

Life

View full text Add to dashboard Cite

The use of thoracic ultrasound (TUS) is a novel and dynamic diagnostic and monitoring modality that has shown remarkable advances within the last decade, with several published papers investigating its role within the field of lung transplantation. The aim of this current opinion review is to review the existing literature on the role of TUS in all stages of LTx, from in-donor lung evaluation to graft assessment on ex vivo lung perfusion and in the short- and long-term follow-up after LTx.

show abstract